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Organization

TRISTAR HEALTH CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL NELSON (MANAGER)
(508) 314-9896
Entity
Organization

Contact information

Practice address
95 VERNON ST STE 203, WORCESTER, MA 01610-1989
(508) 373-2041
Mailing address
95 VERNON ST STE 203, WORCESTER, MA 01610-1989

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207QS0010X
Sports Medicine (Family Medicine) Physician

Other

Enumeration date
11/29/2023
Last updated
11/29/2023
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